Bilateral posterior scleritis.
OBJECTIVE
To describe an unusual presentation of posterior scleritis in a healthy young patient.


METHODS
We reviewed the medical record of 21-year-old man for clinical presentation, course, and ancillary studies.


RESULTS
The healthy patient had a painless, bilateral posterior scleritis that presented with a combination of circumscribed fundus masses and exudative macular detachment. On fluorescein angiography, different hyper-fluorescent patterns characterized the two manifestations of posterior scleritis. An ultrasound confirmed the scleral thickening. Fundoscopic abnormalities resolved with oral prednisone.


CONCLUSIONS
Pain is not always present in this disease. A combination of exudative macular detachment and circumscribed fundus masses can be a form of presentation in posterior scleritis.
Dodds
E M
EM
doddse@overnet.com.ar
Irarrázaval
L A
LA
Scarfone
A
A
Gáspari
E
E
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea / Q000473:pathology*; D008297:Male; D011241:Prednisone / Q000627:therapeutic use; D012163:Retinal Detachment / Q000175:diagnosis*; D012590:Sclera / Q000000981:diagnostic imaging / Q000473:pathology*; D015423:Scleritis / Q000175:diagnosis* / Q000188:drug therapy; D014463:Ultrasonography
D000893:Anti-Inflammatory Agents; D011241:Prednisone